Melrose Adventist Child Development Center

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. No documentation of the VDOE sponsored online orientation course for Staff #4 was available for review, which is overdue by 3 months. .”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. No orientation documentation for Staff #4 was available for review, which is overdue by 6 months.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the yellow room, an aerosol container of disinfectant was in an unlocked cabinet under the sink. 2. In the orange room, a container of Dawn, Totally Awesome Disinfectant and Clorox wipes were in an unlocked closet. 3. In the red room, a container of disinfectant, Clorox Disinfectant Mist and Clorox wipes were in an unlocked closet.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: In the yellow and red room, children were observed returning to activities without washing their hands after morning snack.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the yellow room, an aerosol container of disinfectant was in an unlocked cabinet under the sink. 2. In the orange room, a container of Dawn, Totally Awesome Disinfectant and Clorox wipes were in an unlocked closet. 3. In the red room, a container of disinfectant, Clorox Disinfectant Mist and Clorox wipes were in an unlocked closet.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: In the yellow and red room, children were observed returning to activities without washing their hands after morning snack.”

8VAC20-790-600-D-1

“Based on record review and interviews with staff, the vendor failed to ensure that all staff who work directly with children shall have with 90 days of the date of employment: current certification in CPR and current certification in first aid. Evidence: 1. The most recent certification in CPR and First Aid for Staff 1 expired 01/2024. The hire date for Staff 1 is 11/27/2018. 2. The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. The hire date for Staff 2 is 08/10/2020.”

8VAC20-780-540-C

“Based on observation and interviews with staff, the center failed to ensure that first aid kits contain the required supplies. Evidence: The first aid kits did not contain triangular bandages.”

8VAC20-780-160-C

“Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 2 was dated 07/28/2020: there was not a follow-up test/screening for 2022 available for review. Staff 1 confirmed there was no 2022 test/ screening available for review.”

8VAC20-780-40-K

“Based on interviews with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff 1 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-260-B

“Based on record review and interviews with staff, the center failed to obtain an annual approval from the health department. Evidence: The most recent approval from the health department available during the inspection was dated 10/11/2022. Staff 1 confirmed this was the most recent report available.”

8VAC20-780-530-A

“Based on record review and interviews with staff, the center failed to ensure that at least one staff in each classroom or area where children are present shall have: Current certification in CPR and current certification in first aid. Evidence: The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. Staff 2 was observed as the only staff member providing care in the yellow room.”

8VAC20-780-540-E

“Based on observation and interviews with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: Staff 1 confirmed a working battery-operated radio was not available during the inspection.”

8VAC20-790-600-D-1

“Based on record review and interviews with staff, the vendor failed to ensure that all staff who work directly with children shall have with 90 days of the date of employment: current certification in CPR and current certification in first aid. Evidence: 1. The most recent certification in CPR and First Aid for Staff 1 expired 01/2024. The hire date for Staff 1 is 11/27/2018. 2. The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. The hire date for Staff 2 is 08/10/2020.”

8VAC20-780-540-C

“Based on observation and interviews with staff, the center failed to ensure that first aid kits contain the required supplies. Evidence: The first aid kits did not contain triangular bandages.”

8VAC20-780-160-C

“Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 2 was dated 07/28/2020: there was not a follow-up test/screening for 2022 available for review. Staff 1 confirmed there was no 2022 test/ screening available for review.”

8VAC20-780-40-K

“Based on interviews with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff 1 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-260-B

“Based on record review and interviews with staff, the center failed to obtain an annual approval from the health department. Evidence: The most recent approval from the health department available during the inspection was dated 10/11/2022. Staff 1 confirmed this was the most recent report available.”

8VAC20-780-530-A

“Based on record review and interviews with staff, the center failed to ensure that at least one staff in each classroom or area where children are present shall have: Current certification in CPR and current certification in first aid. Evidence: The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. Staff 2 was observed as the only staff member providing care in the yellow room.”

8VAC20-780-540-E

“Based on observation and interviews with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children. Evidence: Staff 1 confirmed a working battery-operated radio was not available during the inspection.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff 1 had a hire date of 12/08/2023. The date on the tuberculosis screening in the record was 10/09/2023. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment. 2. Staff 2 had a hire date of 12/15/2023. The date on the tuberculosis screening in the record was 10/30/2023. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-350-B-4

“Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 3-year-olds up to school age eligible. Evidence: 1. There were 17 children observed in the green group with 1 staff member. The youngest child was 3 years old. The required staff ratio for this group of children was 1:10. Two staff would be required. 2. There were 16 children observed in the orange group with 1 staff member. The youngest child was 4 years old. The required staff ratio for this group of children was 1:10. Two staff would be required.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 3 documented a hire date of 09/07/2023. The record for Staff 1 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 1 confirmed this information was not available.”

8VAC20-780-350-B-4

“Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 3-year-olds up to school age eligible. Evidence: 1. There were 17 children observed in the green group with 1 staff member. The youngest child was 3 years old. The required staff ratio for this group of children was 1:10. Two staff would be required. 2. There were 16 children observed in the orange group with 1 staff member. The youngest child was 4 years old. The required staff ratio for this group of children was 1:10. Two staff would be required.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 3 documented a hire date of 09/07/2023. The record for Staff 1 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 1 confirmed this information was not available.”

8VAC20-780-560-J

“Based on observation and interviews with staff, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: While the children were sitting at the table in the Green Room, Staff 6 was observed wiping the table with a white cloth before children were served breakfast. Staff 6 confirmed they wiped the tables with a soap and water solution and did not sanitize the tables before children ate breakfast.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: 1. Staff 1 had a documented hire date of 05/23/2023. The search of the central registry was dated 08/10/2023. 2. Staff 4 had a documented hire date of 07/25/2020. The search of the central registry was dated 02/22/2022. 3. Staff 5 had a documented hire date of 05/06/2021. The search of the central registry was dated 02/24/2022.”

8VAC20-780-270-A

“SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The outlet in the reading area of the Yellow Room had a broken wall plate and wires were visible. Children, ages 2 years to 5 years, were observed in this area. 2. The outlet under the TV in the Orange Room had a broken wall plate and wires were visible. Children, ages 4 years to 6 years, were observed in this room.”

8VAC20-780-80-A

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on observation, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: At approximately 8:10 am on 08/08/2023, the daily attendance for the group of children in the Yellow Room documented 5 children. There were 9 children observed in care. The daily attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-70

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. Staff 1 had a documented hire date of 05/23/2023 and did not have two required reference checks prior to employment. Two reference checks were dated 05/24/2023. 2. Staff 3 had documented hire date of 05/15/2023 and did not have two required reference checks prior to employment. Two reference checks were dated 05/17/2023.”

22.1-289.011-F

“Based on observation, the center failed to ensure that the violation notice, inspection summary and any other documents required by the superintendent are posted in a conspicuous place in the licensed premises. Evidence: The findings of the most recent inspection conducted on 04/12/2023 were not posted in the facility.”

8VAC20-780-130-A

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: First date of attendance for Child 3 was 04/14/2022. The immunization record for Child 3 was dated 04/21/2023.”

22.1-289.035-B-2

“SECOND REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. Staff 1 had a documented hire date of 05/23/2023. The employee eligibility letter was dated 06/13/2023. 2. Staff 5 had a documented hire date of 05/06/2021. The employee eligibility letter was dated 05/08/2021.”

8VAC20-780-280-B

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on observations the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked cabinet under the left sink in the Yellow Room that contained the following materials: Spic and Span, (2) aerosol glass cleaner, Lysol toilet bowl cleaner, and degreaser. Children were observed in this area. 2. There was an unlocked aerosol can of ?Baby Air Freshener? located on the changing table in the Yellow Room. Children were observed in this area.”

8VAC20-780-330-B

“SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. The resilient surfacing (mulch) under the small climbing equipment with the blue slide measured approximate one inch at the base of the slide and steps. Grass and landscaping fabric were visible in multiple areas within the fall zone. The required about of resilient surfacing in the fall zones is 6 inches. Children were observed playing on this structure during the inspection. 2. The resilient surfacing (mulch) under the large climbing equipment with the yellow slide measured approximate one inch at the base of the slide and steps. Grass and landscaping fabric were visible in multiple areas within the fall zone. The required about of resilient surfacing in the fall zones is 6 inches. Children were observed playing on this structure during the inspection.”

8VAC20-780-560-F

“Based on observation and interviews with staff, the center failed to ensure a menu listing foods to be served for meals and snacks during the current one-week period shall be: dated; be posted in a location conspicuous to parents or given to parents; list any substituted food and be kept on file for one week at the center. Evidence: 1. A July menu was posted in the Yellow Room. Staff 1 confirmed an August menu was not available. 2. A July menu was posted in the Green Room. Staff 6 confirmed an August menu was not available.”

8VAC20-780-60-A

“SYSTEMIC DEFICIENCY THIRD REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. Child 1 record did not contain the following information: previous child day care and schools attended by child and work phone number for each parent (an employer was listed but the record did not contain a work phone number). 2. Child 2 record did not contain the following information: previous child day care and schools attended by child, phone number of physician and written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. A food allergy was documented. 3. Child 3 record did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number), name address and phone number of two designated people to call in an emergency if a parent cannot be reached (for one designated person, the address was incomplete and no phone number was provided) and written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. A food allergy was documented. 4. Child 4 record did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 5. Child 5 record did not contain the following information: chronic health problems and pertinent developmental information and any special accommodations needed, and allergies a intolerance to medication or any other substances and actions to take in an emergency situation.”

8VAC20-780-40-M

“SYSTEMIC DEFICIENCY Based on observation, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitives and restrictions documented in the allergy plan. Evidence: A written list of children’s allergies, sensitives and restrictions was not available for review during the inspection. Child 2 and Child 3 have documented allergies requiring an allergy care plan.”

8VAC20-780-160-C

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 4 was dated 07/30/2020: there was not a follow-up test/screening available for review.”

8VAC20-780-160-A

“SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 2 had a hire date of 07/31/2023. The tuberculosis screening was 08/11/2023. 2. Staff 3 had a hire date of 05/15/2023. The tuberculosis screening was 06/21/2023.”

8VAC20-780-560-J

“Based on observation and interviews with staff, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: While the children were sitting at the table in the Green Room, Staff 6 was observed wiping the table with a white cloth before children were served breakfast. Staff 6 confirmed they wiped the tables with a soap and water solution and did not sanitize the tables before children ate breakfast.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: 1. Staff 1 had a documented hire date of 05/23/2023. The search of the central registry was dated 08/10/2023. 2. Staff 4 had a documented hire date of 07/25/2020. The search of the central registry was dated 02/22/2022. 3. Staff 5 had a documented hire date of 05/06/2021. The search of the central registry was dated 02/24/2022.”

8VAC20-780-270-A

“SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The outlet in the reading area of the Yellow Room had a broken wall plate and wires were visible. Children, ages 2 years to 5 years, were observed in this area. 2. The outlet under the TV in the Orange Room had a broken wall plate and wires were visible. Children, ages 4 years to 6 years, were observed in this room.”

8VAC20-780-80-A

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on observation, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: At approximately 8:10 am on 08/08/2023, the daily attendance for the group of children in the Yellow Room documented 5 children. There were 9 children observed in care. The daily attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-70

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. Staff 1 had a documented hire date of 05/23/2023 and did not have two required reference checks prior to employment. Two reference checks were dated 05/24/2023. 2. Staff 3 had documented hire date of 05/15/2023 and did not have two required reference checks prior to employment. Two reference checks were dated 05/17/2023.”

22.1-289.011-F

“Based on observation, the center failed to ensure that the violation notice, inspection summary and any other documents required by the superintendent are posted in a conspicuous place in the licensed premises. Evidence: The findings of the most recent inspection conducted on 04/12/2023 were not posted in the facility.”

8VAC20-780-130-A

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: First date of attendance for Child 3 was 04/14/2022. The immunization record for Child 3 was dated 04/21/2023.”

22.1-289.035-B-2

“SECOND REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. Staff 1 had a documented hire date of 05/23/2023. The employee eligibility letter was dated 06/13/2023. 2. Staff 5 had a documented hire date of 05/06/2021. The employee eligibility letter was dated 05/08/2021.”

8VAC20-780-280-B

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on observations the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked cabinet under the left sink in the Yellow Room that contained the following materials: Spic and Span, (2) aerosol glass cleaner, Lysol toilet bowl cleaner, and degreaser. Children were observed in this area. 2. There was an unlocked aerosol can of ?Baby Air Freshener? located on the changing table in the Yellow Room. Children were observed in this area.”

8VAC20-780-330-B

“SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. The resilient surfacing (mulch) under the small climbing equipment with the blue slide measured approximate one inch at the base of the slide and steps. Grass and landscaping fabric were visible in multiple areas within the fall zone. The required about of resilient surfacing in the fall zones is 6 inches. Children were observed playing on this structure during the inspection. 2. The resilient surfacing (mulch) under the large climbing equipment with the yellow slide measured approximate one inch at the base of the slide and steps. Grass and landscaping fabric were visible in multiple areas within the fall zone. The required about of resilient surfacing in the fall zones is 6 inches. Children were observed playing on this structure during the inspection.”

8VAC20-780-560-F

“Based on observation and interviews with staff, the center failed to ensure a menu listing foods to be served for meals and snacks during the current one-week period shall be: dated; be posted in a location conspicuous to parents or given to parents; list any substituted food and be kept on file for one week at the center. Evidence: 1. A July menu was posted in the Yellow Room. Staff 1 confirmed an August menu was not available. 2. A July menu was posted in the Green Room. Staff 6 confirmed an August menu was not available.”

8VAC20-780-60-A

“SYSTEMIC DEFICIENCY THIRD REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. Child 1 record did not contain the following information: previous child day care and schools attended by child and work phone number for each parent (an employer was listed but the record did not contain a work phone number). 2. Child 2 record did not contain the following information: previous child day care and schools attended by child, phone number of physician and written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. A food allergy was documented. 3. Child 3 record did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number), name address and phone number of two designated people to call in an emergency if a parent cannot be reached (for one designated person, the address was incomplete and no phone number was provided) and written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. A food allergy was documented. 4. Child 4 record did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 5. Child 5 record did not contain the following information: chronic health problems and pertinent developmental information and any special accommodations needed, and allergies a intolerance to medication or any other substances and actions to take in an emergency situation.”

8VAC20-780-40-M

“SYSTEMIC DEFICIENCY Based on observation, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitives and restrictions documented in the allergy plan. Evidence: A written list of children’s allergies, sensitives and restrictions was not available for review during the inspection. Child 2 and Child 3 have documented allergies requiring an allergy care plan.”

8VAC20-780-160-C

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 4 was dated 07/30/2020: there was not a follow-up test/screening available for review.”

8VAC20-780-160-A

“SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 2 had a hire date of 07/31/2023. The tuberculosis screening was 08/11/2023. 2. Staff 3 had a hire date of 05/15/2023. The tuberculosis screening was 06/21/2023.”

22.1-289.035-A

“Based on observation and record review, the center failed to ensure that no person shall be hired for compensated employment, continue to employee, or permit to serve as a volunteer, any person who has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth as defined by the Code of Virginia. Evidence: Staff 1 had a documented employment date of 11/17/2022. The most recent finding of the central registry search for Staff 1, dated 02/17/2023, resulted in a ?Match? as the individual has been the subject of a founded complaint of child abuse or neglect within the Commonwealth of Virginia. Staff 1 was observed providing direct care and supervision during the inspection on 4/12/2023.”

8VAC20-780-60-A

“Repeat Violation Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 4 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).”

22.1-289.035-B-2

“REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. The record for Staff 4 contained a documented hired date of 11/18/2022. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available. 2. The record for Staff 5 contained a documented hired date of 1/17/2023. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available.”

8VAC20-770-60-C-2

“Based on record review and interview with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 documented a hire date of 11/18/2022. The central registry search was not available for review. Staff 2 confirmed the central registry search was not available.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: home address of a parent, name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete) and first day of attendance. 2. The record for Child 2 did not contain the following information: home address of a parent, and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete). 3. The record for Child 3 did not contain the following information: home address of a parent. 4. The record for Child 4 did not contain the following information: home address of a parent, the phone number of the child’s physician and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete). 5. The record for Child 5 did not contain the following information: name and phone number of the child’s physician, allergies and intolerance to medication or any other substances and action to take in an emergency situation, chronic physical problems and pertinent developmental information and any special accommodations needed and previous child day care and schools attended by the child.”

8VAC20-780-80-A

“Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The written record of daily attendance in the green group of children did not document the departure of each child as it occurred. There were 8 children marked in attendance and 6 children in attendance for that group. 2. The written record of daily attendance in the orange group of children did not document the arrive of each child as it occurred. There were 4 children marked in attendance and 5 children in attendance for that group.”

8VAC20-780-260-A

“Based on record review and interview will staff, the center failed to provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was dated 11/09/2022. Staff 2 confirmed a more recent inspection was not available.”

8VAC20-780-530-A

“Based on observation and record review, the center failed to ensure that at least one staff in each classroom or areas where children are present shall have: current certification in cardiopulmonary resuscitation (CPR) as appropriate to children in care and current certification in first aid. Evidence: Staff 4 was the only staff member in a classroom with children. The staff record did not contain documentation of CPR or first aid certification.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available. 2. The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available.”

22.1-289.035-B-2

“REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. The record for Staff 4 contained a documented hired date of 11/18/2022. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available. 2. The record for Staff 5 contained a documented hired date of 1/17/2023. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available.”

8VAC20-770-60-C-2

“Based on record review and interview with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 documented a hire date of 11/18/2022. The central registry search was not available for review. Staff 2 confirmed the central registry search was not available.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: home address of a parent, name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete) and first day of attendance. 2. The record for Child 2 did not contain the following information: home address of a parent, and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete). 3. The record for Child 3 did not contain the following information: home address of a parent. 4. The record for Child 4 did not contain the following information: home address of a parent, the phone number of the child’s physician and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete). 5. The record for Child 5 did not contain the following information: name and phone number of the child’s physician, allergies and intolerance to medication or any other substances and action to take in an emergency situation, chronic physical problems and pertinent developmental information and any special accommodations needed and previous child day care and schools attended by the child.”

8VAC20-780-80-A

“Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The written record of daily attendance in the green group of children did not document the departure of each child as it occurred. There were 8 children marked in attendance and 6 children in attendance for that group. 2. The written record of daily attendance in the orange group of children did not document the arrive of each child as it occurred. There were 4 children marked in attendance and 5 children in attendance for that group.”

8VAC20-780-260-A

“Based on record review and interview will staff, the center failed to provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was dated 11/09/2022. Staff 2 confirmed a more recent inspection was not available.”

8VAC20-780-530-A

“Based on observation and record review, the center failed to ensure that at least one staff in each classroom or areas where children are present shall have: current certification in cardiopulmonary resuscitation (CPR) as appropriate to children in care and current certification in first aid. Evidence: Staff 4 was the only staff member in a classroom with children. The staff record did not contain documentation of CPR or first aid certification.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available. 2. The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: 1.The record for Child 1 indicated the child first date of attendance was 04/18/2022. The immunization record was dated 04/21/2022. 2.The record for Child 5 indicated the child first date of attendance was 10/25/2021. The immunization record was dated 10/27/2021.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for second contact was incomplete and no phone number for second contact); allergy care plan for diagnosed food allergy (record indicated a diagnosed food allergy); and documentation of health information as required. 2. The record for Child 2 did not contain the following required information: the phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached ( the addresses for both designated people were incomplete); and documentation of health information as required. 3.The record for Child 4 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (no contacts were provided); and documentation of health information as required. 4.The record for Child 5 did not contain the following required information: documentation of health information as required.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that at least every two years from the date of the initial screening to testing, staff members shall obtain and submit the results of a follow-up tuberculosis screenings. Evidence: 1.The most recent tuberculosis test/screening for Staff 1 was dated 01/04/2019; there was not a follow-up screening for 2021 available at for review. 2.The most recent tuberculosis test/screening for Staff 4 was dated 07/09/2018; there was not a follow-up screening available at for review.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence. In the green room, there was an unlocked cabinet under the sink to the right of the room that contained 18 various containers of cleaning products such as Clorox wipes, Carpet Fresh, and Pine Sol. Staff 1 confirmed the lock broke earlier that day.”

22.1-289.035-B-2

“Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 04/18/2022. No eligibility letter was available for review.”

8VAC20-770-60-B

“Based on the record review and discussion with staff, the center failed to ensure an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 4 had a documented hire date of 12/19/2020. The sworn statement was dated 12/19/2021.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: 1.The record for Child 1 indicated the child first date of attendance was 04/18/2022. The immunization record was dated 04/21/2022. 2.The record for Child 5 indicated the child first date of attendance was 10/25/2021. The immunization record was dated 10/27/2021.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for second contact was incomplete and no phone number for second contact); allergy care plan for diagnosed food allergy (record indicated a diagnosed food allergy); and documentation of health information as required. 2. The record for Child 2 did not contain the following required information: the phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached ( the addresses for both designated people were incomplete); and documentation of health information as required. 3.The record for Child 4 did not contain the following required information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (no contacts were provided); and documentation of health information as required. 4.The record for Child 5 did not contain the following required information: documentation of health information as required.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that at least every two years from the date of the initial screening to testing, staff members shall obtain and submit the results of a follow-up tuberculosis screenings. Evidence: 1.The most recent tuberculosis test/screening for Staff 1 was dated 01/04/2019; there was not a follow-up screening for 2021 available at for review. 2.The most recent tuberculosis test/screening for Staff 4 was dated 07/09/2018; there was not a follow-up screening available at for review.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence. In the green room, there was an unlocked cabinet under the sink to the right of the room that contained 18 various containers of cleaning products such as Clorox wipes, Carpet Fresh, and Pine Sol. Staff 1 confirmed the lock broke earlier that day.”

22.1-289.035-B-2

“Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 04/18/2022. No eligibility letter was available for review.”

8VAC20-770-60-B

“Based on the record review and discussion with staff, the center failed to ensure an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 4 had a documented hire date of 12/19/2020. The sworn statement was dated 12/19/2021.”